I have an interview for the OR this friday.. i'm very excited and nervous at the same time! One of the questions I am anticipating in the interview will be something along the lines of "if you witness a more senior nurse (or surgeon) breaking aseptic technique, how would you react?"
I was wondering if anyone had any ideas how i could answer this question?
Some ideas I had were:
- approach the nurse discreetly and point out the event. The nurse might have made the mistake unintentionally and it's my job to advocate for the patient's safety.
However.. if the nurse purposelly breaks sterility to cut corners and to avoid prolonging the case then I know this can be a serious problem. But.. how to address it? and how far do you go? It doesn't seem feasible re-set all the equiptment up.
Please share any experiences you've had
Apr 29, '09
I don't know, that seems kind of like a strange interview question. I worked in several OR's and never been asked that, I don't even think in my internship interview.
Having said that, if you see a break in technique, you tell the person and they stop. I've never had a problem with someone disagreeing with me. Surgeons will stop, regown, change gloves, drop the contaminated needle, instrument, etc. I'm not sure why you want to confront the nurse/scrub "discreetly." If it's a break in technique or contamination, it must be addressed right there and then. If it's something before the case like we are doing a total joint and there's a hole in the back table cover, we stop, break it all down and the surgeon just waits for the instruments to be resterilized.
Most nurses try to contain cost in the OR by not opening everything they find, not by breaking technique.
Sterile technique shouldn't be an issue, period.
Last edit by fracturenurse on Apr 29, '09